Differential effect of exposure-based therapy and cognitive therapy on post-traumatic stress disorder symptom clusters: A randomized controlled trial.
Differential effect of exposure-based therapy and cognitive therapy on post-traumatic stress disorder symptom clusters: A randomized controlled trial.
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DOI：
10.1111/papt.12103
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发表时间：
2017-06
期刊：
影响因子：
--
通讯作者：
Shalev A
中科院分区：
文献类型：
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作者：
Horesh D;Qian M;Freedman S;Shalev A
一个问题仍然是关于不同的影响，基于暴露与非暴露为基础的治疗对特定的PTSD症状集群。创伤急诊室患者随机接受长期暴露（PE）或认知治疗（CT）无暴露。PE/CT对个体症状群没有差异性影响，即使在控制了所有3个症状群的减少后，PTSD总分的变化仍然显着。此外，PTSD回避/侵入/过度觉醒的基线水平并没有缓和PE和CT对PTSD症状总评分的影响。总的来说，这些发现挑战了PE和CT在治疗一个特定的PTSD症状群中特异性和差异性有用的概念。
A question remains regarding differential effects of exposure-based vs. non-exposure-based therapies on specific PTSD symptom clusters. Traumatized emergency room patients were randomized to receive prolonged exposure (PE) or cognitive therapy (CT) without exposure. PE/CT had no differential effect on individual symptom clusters, and change in total PTSD score remained significant even after controlling for the reductions in all 3 symptom clusters. In addition, baseline levels of PTSD avoidance/intrusion/hyper-arousal did not moderate the effects of PE and CT on total PTSD symptom scores. Taken together, these findings challenge the notion that PE and CT are specifically, and differentially, useful in treating one particular PTSD symptom cluster.